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Permit
, ` ' • i )C'iTY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00228 COMMUNITY DEVELOPMENT DATE ISSUED: 7/3/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C - P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG PROJECT: CORVEL Project Description: TI. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 39 BASEMENT: sf AREA SEP. RATED: STOR: 6 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE:4P ( 000 , OO Owner: Contractor: SHORENSTEIN REALTY SERVICES RUSSELL CONSTRUCTION INC. ONE SW COLUMBIA ST #300 20915 SW 105TH AVE. PORTLAND, OR 97258 TUALATIN, OR 97062 Phone: 503 - 412 -4800 Contact #: PRI 503 - 228 -4898 FAX 503 - 228 -2770 Reg #: LIC 58918 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/3/2008 $91.10 [TAX] 12% State Surch 7/3/2008 $10.93 [BUPPLN] Pln Rv 7/3/2008 $59.22 [FLS] FLS Pln Rv 7/3/2008 $36.44 Total $197.69 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires y•u to follow the rule- adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OA' 9 : ; . ! 00 Y• may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. k. Issued :.4. � � —Ire.: Permittee Signature: .1 a I �, AW '� Call 503.639.4175 by 7:00 a.m. for an inspection t t�business d This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application � CQII1I11CI'cr'aI Q FOR OFFICE U.SE ONLY • • City of Tigard Zdd Dare /B d 7 C ejr Penult No.:' i� • 1 -.11i1 q 13125 SW Hall Blvd., Tigard, .r1 OR 97223 �U` ® Plan Review �� Phone: 503.639.4171 Fax: 503.598.1960 p R,' Date /B �, Other Permit: Inspection Line:. 503.639.4175 F l► 1 �to Rea t : El See Page 2 for TIGARD Internet: www.tigard- or.gov CI D Notified /Method: Supplemental Information • 01L Dl C \m� �':�•i� " . . :- :fie... `5 ^Ya a .y. IRE AD A: AND - -- - , rLY D�'4'E ' GR: I'PFr' 12;I{� ^�.'s_.,.: � �� , ARE U D AT . LL IN oP..:.%. �, ��: ..� OFVVCI ... :> ._.. _� ' : �. =::ate:..\ ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ° \ S GORY'OCQN � _ "> ` ' work indicated on this application. : `,� ;ia ��\a.,�:i�'��- ::`3 .:.�:,, -.. <w.a.o: ._ h ... , ^:� ^� ° a��x \ti= , \�i�°a- �w .,; �� \l p."��x� °n, �" "� .... s.. ; -�� � � y.. >. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 'I I3 ITE a /LOCATION: � � VP' Total number of floors: Job site address: 5 Lincoln 10200 SW Greenburg Rd New dwelling area: square feet City/State /ZIP: Tigard, OR Garage /carport area: square feet Suite/bldg. /apt. no.: 150 Project name: CorVel Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet iZ. EQt1IREU'< I3ATAi ?.COMMERIA CL5E- CI3ECKI:TS s Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ' ,a c' a�. '',• . 14 iii ikS:;, . >_ W ^., �•;> �i work indicated on this application. 4e . ' : , :v.k , ?, , ' DESCRII'I' O RA ,Ai, .,S ,, :44, , Work to include minor demolition, new walls, new shelving and countertop and new Valuation: $$6,000.00 doors and relites Existing building area: 3,853 square feet Interior Tenant Improvement New building area: square feet : ;o o-,� ,: :"` > � �: r`'\ �a\�:e ^ o., �\ g ix�e `� °:Y,i ,.,. : " `a�� °.�, " " '1,-; � _,:, � > ® PROPER. O , ' • ,; :.:4, a'` ,(' TENANTS °: n Number of stories: 6 Name: Shorenstein Type of construction: I -B Address: One SW Columbia Street, Suite 300 Occupancy groups: City /State /ZIP: Portland, OR 97258 Existing: B Phone: (503)412 -4800 Fax: (503)412 -4848 New: APPLICANT: CONTA :`PER :: ,i c ::,• . � . 'sa> ,;. :;�..�..� °�::�_�-�;�.. ....,.. ..............� .....�... , x` > >:....... � ° ° .�• >� NOTICE ;- < @? °,•s'•.�z >:�� Business name: Group Mackenzie All contractors and subcontractors are required to be Contact name: Morgan Roush licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1515 SE Water Ave Suite 100 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons apply: Phone: (503) 224 -9560 Fax: : (503) 228-1285 E -mail: mroush @grpmack.com �., ,.,.., -; ��: ..:,I �. �-, . ,... ;; ":•.:Y�.�� � , .�':::.- :�' �� CO N: CTOR? �<: �.: � TItA Business name: Russell Construction ', :BIIILDIN'G= PERMIT PEES* '" """ WA Address: 20915 SW 105th Ave " °�_.,, `(Please�rejer to jeescliedii[e)`:�. 4 ".. � . . Structural plan review fee (or deposit): City /State /ZIP: Tualatin, OR 97062 Phone: (503) 228 -4898 ' . x: (503) 228 -2770 FLS plan review fee (if applicable): CCB lic.: 58918 Total fees due upon application: . / Amount received: Authorized signature: ` 11,4 " This permit application expires if a permit is not obtained Print name: Kim Sedla � ( Date: 07/03/08 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry . Service Board. 1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB) CITY OF TIGARD BUILDING DIVISION 4111)0 ''' PERMIT #: BUP2008-00228 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2008 Phone: (503) 639-4171 'Mt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 50 SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CORVEL DESCRIPTION: TI. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 5034112-4800 I CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 074898-01 503 N Corrections/Comments/Instructions: i (PAS • r d PARTIAL APPROVAL 0 CANCEL 7 All fl NO ACCESS CALL FOR INSPECTION Ej ADDITIONAL FEES ASSESSED Inspector: i - ..- _ lift. 1 t Date: i3/ Phone #: (503) 718- 1 1 CITY OF TIGARD BUILDING DIVISION , PERMIT #: BUP2008.00228 13125 SW Hall Blvd., Tigard, OR 97223 � ` DATE ISSUED: 7/312008 Phone: (503) 639 -4171 4711' ,0� Inspection Requests (24 Hrs.): (503) 639 -4175 W 1 INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CORVEL DESCRIPTION: 11. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -1112 -4800 CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503220 -4868 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Finial inspection 074762 -01 503-700.3222 N Corrections /Comments/ Instructions: ❑ PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS >! FA M CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . __ ' 41111 Date: .© Phone #: (503) 718 Z-6L-7 CITY OF TIGARD BUILDING DIVISION - . PERMIT # • 13UP2008.00718 13125 SW Hall Blvd., Tigard, OR 97223 r. DATE ISSUED: 7/3/2008 Phone: (503) 639 -4171 /0 ',4,1 Inspection Requests (24 Hrs.): (503) 639 -4175 Ail. •411,. INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:01AM PAGE: 53 SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CORVEL DESCRIPTION: - OWNER: SHORE:NSTEIN REALTY SERVICES, PHONE #: 503 - 412 - 4800 CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 - 228.4898 Inspection Request Scheduled For: Date 7/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 073315 -01 503 - 780. 3222 ,1 - .. Corrections /Comments /Instructions: Iii PASS I /, APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED i Inspector: L Date: 74-1/8___ Phone #: (503) 718 V.